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Published on: January 13, 2023
Wrong tooth extraction: further analysis of "never event" data
1Division of Dentistry, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Higher Cambridge Street, Manchester M15 6FH, UK; University Dental Hospital of Manchester, Higher Cambridge Street, Manchester M15 6FH, UK.
Abstract:
The NHS in England requires the reporting of defined "never events" that are directly related to patients' safety. Analysis of data from 2012-2015 has been published previously in this journal. An examination of continuing data from 2015-2019 shows that "wrong tooth/teeth removed" has not reduced in frequency and it still remains a common "wrong-site surgery" event accounting for between 16% and 24% of wrong-site surgery never events and 7%-10% of all never events reported. Hospitals and community Trusts remain the main source of such reports, although some now originate from primary-care-based dental settings. Further efforts have focused on prevention, and the implementation of existing measures to reduce the risk of wrong tooth extraction, is warranted.
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